Director Service Fund

WellCare - Tampa, FL3.5

LOCATION: Henderson Road, Tampa, FL

DEPARTMENT: Finance - Actuarial Services

REPORTING TO: Sr. Dir. Strategic Initiatives

Manages and leads a team of financial analysts who provide timely, accurate, actionable data and analysis supporting the WellCare IPA Service Funds. Leads and manages corporate and regional resources to ensure Service Funds are utilized as a key corporate asset in building positive provider relationships. Develops initiatives to increase profitability and decrease medical expenses. Develops plans, provides resources and direct activities for enterprise-wide provider financial analysis. Proactively initiates and develops analytics for strategic and operating decisions and provides recommendations to senior management on both tactical and strategic nature.

Essential Functions:
Oversees Service Fund projects and initiatives, directs all necessary follow-ups and communicates results and recommendations to senior management. Advises management in long-range planning for area.
Oversees and conducts monthly analysis identifying opportunities to reduce cost and utilization, to include review and dissemination of reports with summary overviews to highlight issues facing the organization. Manages the financial analysis Provider risk based contracts.
Develops strategies and ensures maximum efficiencies in the utilization of human and financial resources.
Manages and supervises staff to facilitate Service Fund Reporting and ad-hoc analysis. Provides technical direction to functional managers, other directors and management.
Manages and develops direct reports by overseeing the work flow for financial analysts by prioritizing projects and establishing expectations with the department’s internal and external customers.
Plans, conducts and directs work on complex projects/programs necessitating the origination and application of new and unique approaches.
Develops and manages new reporting tools based on the needs of the Regional representatives in Provider Relations, Contracting, and Medical Management.
Develops and provides actionable recommendations to senior management relative to all analysis and/or ad hoc reporting. Recommends changes in policies and procedures.
Leads and manages meetings to facilitate communications in regional initiatives to improve operating results.
Ensures corporate initiatives are implemented to achieve optimum results.
Performs other duties as assigned.

Candidate Education:
Required A Bachelor's Degree in a related field
Required Other an addition 2 years of relevant healthcare experience may be substituted in lieu of the Bachelor's Degree
Preferred Other Graduate degree (Master's of Business Administration or Certified Public Accountant)

Candidate Experience:
Required 7 years of experience in relevant healthcare
Required Other Healthcare financial management experience

Candidate Skills:
Advanced Demonstrated interpersonal/verbal communication skills
Advanced Demonstrated written communication skills
Intermediate Ability to work independently
Intermediate Demonstrated time management and priority setting skills
Advanced Demonstrated analytical skills
Advanced Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
Intermediate Ability to work in a fast paced environment with changing priorities
Intermediate Demonstrated organizational skills
Intermediate Demonstrated leadership skills
Intermediate Ability to lead/manage others
Intermediate Demonstrated ability to deal with confidential information
Intermediate Ability to communicate and make recommendations to upper management
Intermediate Other In-depth knowledge of finance
Intermediate Other Self-starter individual
Intermediate Other Ability to effectively communicate clearly and grammatically both complex and simple messages to all levels within or outside the organization
Intermediate Other Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables
Intermediate Other Ability to remain calm under pressure
Intermediate Other Ability to perform each essential duty satisfactorily
Intermediate Other Facilitative skills
Intermediate Other Ability to provide a proactive approach and support to emerging business activities established to remain competitive in the marketplace

Technical Skills:
Required Intermediate Microsoft Word
Required Intermediate Microsoft Excel
Required Intermediate Microsoft Access
Required Intermediate Microsoft Outlook
Required Intermediate Other Knowledge of database reporting tools to assist in preparing analysis